Individual
DR. STEPHEN V GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8490 PICARDY AVE, BUILDING 600, SUITE B, BATON ROUGE, LA 70809
(225) 769-6400
(225) 763-4598
Mailing address
8490 PICARDY AVE, BUILDING 600, SUITE B, BATON ROUGE, LA 70809
(225) 769-6400
(225) 763-4598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13013R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1556262
—
LA
Enumeration date
08/03/2005
Last updated
09/25/2020
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